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The Future for Improving Nursing Education in Malawi

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The Future for Improving Nursing Education in Malawi NORWEGIAN CHURCH AID-MALAWI ABSTRACT BOOKLET Nursing and Midwifery Dissemination Conference; The Future for Improving Nursing Education in Malawi 26th to 27th November 2015 Sunbird Capital Hotel, Lilongwe, Malawi ABSTRACT BOOKLET Nursing and Midwifery Dissemination Conference; The Future for Improving Nursing Education in Malawi Table of Contents About Norwegian Church Aid iv Organising partners vi Abstract Reviewers vii Introduction viii SUBTHEME 1: TEACHING AND LEARNING METHODOLOGY IN NURSE/MIDWIFE EDUCATION 1 1. Investigation of the Clinical Assessment Practices of Nurse Educators for Nursing and Midwifery Technician Students in Malawi 2 2. Factors that Affect Student's Performance during Objective Structured Clinical Examination (OSCE) in CHAM colleges of Nursing, Southern Malawi 4 3. Exploring Knowledge and Perceptions of Tutors towards the Use of Problem-Based Learning Approach (PBL) in Christian Health Association of Malawi Nursing Colleges 6 SUBTHEME 2: UTILISATION OF SKILLS LABORATORIES FOR TEACHING AND LEARNING 8 4. Factors Affecting Clinical Performance of Nursing and Midwifery Technician Students at Three Nursing Colleges, Southern Malawi 9 SUBTHEME 3: CLINICAL TEACHING IN CLINICAL SITUATIONS 12 5. Assessing Quality of Clinical Learning Environment for Nursing and Midwifery Students in Northern Malawi 13 6. Involvement of Registered Nurses in Clinical Teaching of Nursing Students in Central Hospitals of Malawi 15 i 7. Assessing Clinical Learning Environment: Kamuzu College of Nursing Undergraduate Nursing Students' perspectives, Malawi 17 8. Enhancing Students' Moral Competence in Practice: Challenges Experienced By Malawian Nurse Teachers 19 9. Registered Nurses' Experiences with Clinical Teaching Environment in Malawi 22 10. Where Is the Grade Coming from? Problems and Challenges in Evaluating the Clinical Performance of Nursing Students 24 11. Experiences of Nurses and Midwives while Participating in Continuous Professional Development (CPD) Activities at Bwaila Hospital 26 SUBTHEME 4: INNOVATIVE TEACHING STRATEGIES 28 12. Knowledge and Attitudes of Nursing and Midwifery Educators and Learners on Self-Directed Learning in Selected Nursing and Midwifery Colleges of the Southern Region of Malawi 29 13. Nurses Communication of Health Information to Caregivers of Children Hospitalised at Queen Elizabeth Central Hospital 32 14. Title: Implementation of Problem Based Learning in Nursing Education: A Malawian Case Study 34 SUBTHEME 5: COLLABORATION 36 15. Building Research Capacity in Malawian Nursing EducationA Key to Development and Change 37 16. An Investigation of Stressors among Malawian Nursing and Midwifery Students 39 ii SUBTHEME 6: COLLEGE MANAGEMENT AND MANAGEMENT SYSTEMS 41 17. Assessment of Strategic Plan Implementation in Nursing and Midwifery Colleges under the Christian Health Association of Malawi 42 SUBTHEME 7: PATIENT CENTERED CARE IN NURSING AND MIDWIFERY EDUCATION 45 18. Strategies for the Implementation of Clinical Practice Guidelines in the Intensive Care: A Systematic Review 46 19. Quality of Kangaroo Mother Care (Kmc) Services at Zomba Central Hospital 50 20. Uptake of Voluntary Medical Male Circumcision in a Traditionally Circumcising Community in Machinga District, Malawi 52 21. Caring of Starved Pre-Operative Patients Undergoing Surgery in the Main Operating Theatre at Queen Elizabeth Central Hospital 56 22. Development of Advocacy Materials for the Prevention of Unsafe Abortion 58 iii About Norwegian Church Aid Norwegian Church Aid (NCA) is an international ecumenical organisation that works to promote the basic rights of women, men, boys and girls. The organisation is rooted in the Christian faith. NCA’s mandate is to promote human dignity, participation, equality and social justice, with specific focus on the poor and the marginalised. Thus, NCA’s engagement in Malawi is based on this fundamental principle of human dignity for all. In this regard, NCA intends to ensure that empowerment of the people, the poor and the marginalised, and adherence to good governance by the duty bearers are upheld and promoted. NCA partners in Malawi are mainly churches and faith based organizations. With funding from Royal Norwegian Embassy, NCA-Malawi in collaboration with partners implemented a health programme from 2011 to 2015 with emphasis on “The right to health” strategic area. One of the components in the health programme implementation was Improved Health Training. The overall goal was to improve the capacity of tutors and 15 college management teams so that they deliver and manage health care training effectively and efficiently. Its main implementation methodology was Strengthening Delivery of Training and Management Systems. Among many components of the health training was the research aspect which resulted in production of several research products during the capacity building processes including the ones with the abstracts contained in this booklet. iv The following institutions were involved in the health capacity building component: CHAM Nursing Colleges • St John of God-Mzuzu • Ekwendeni • St John’s-Mzuzu • St Joseph’s-Chiradzulu • Holy Family-Phalombe • Malamulo-Thyolo • Mulanje Mission • Trinity-Nsanje • St Luke-Zomba • Nkhoma-Lilongwe Government Supported colleges • Malawi College of Health Science (Lilongwe, Zomba and Blantyre Campus) • Mzuzu University • Kamuzu College of Nursing Resource Partners • Norwegian University Colleges (Telemark, Vestfold, Diakonhjemmet and Arkeshus) • Norwegian Church Aid-Malawi v Organising partners Telemark University College - Holy Family College of Nursing and Midwifery - Kamuzu College of Nursing - Malamulo College of Health Sciences - Malawi College of Health Sciences-Lilongwe, Zomba and Blantyre campuses - Mulanje Mission College of Nursing and Midwifery - Mzuzu University - Nkhoma College of Nursing and Midwifery - St John’s College of Nursing and Midwifery - St Joseph’s College of Nursing and Midwifery - St Luke’s College of Nursing and Midwifery - Trinity College of Nursing and Midwifery - National Organisation of Nurses and Midwives of Malawi - Nurses and Midwives Council of Malawi - Ministry of Health – Government of Malawi - Christian Health Association of Malawi - Norwegian Church Aid vi Abstract Reviewers Dr Gertrude Mwalabu Dr Belinda Gombachika vii Introduction This booklet contains twenty two abstracts which were submitted for presentation to a nursing education research dissemination conference conducted from 26th to 27th November 2015. The theme for the conference was: Nursing Education Research: The Future for Improving Nursing Education in Malawi. The objectives of the dissemination conference were: a) To share evidence and explore innovations in nursing education. b) To share and identify ways to promote quality nursing and midwifery education in Malawi. The conference also had several subthemes which guided the deliberations. The following were the subthemes for the conference: a) Teaching and learning methodology in nurse/midwifery education. b) Utilisation of skills laboratories for teaching and learning. c) Clinical teaching in clinical situations. d) Innovative teaching strategies. e) Collaboration. f) College management and management systems. g) Patient centred care in nursing and midwifery education. Nursing Education research was one of the focus areas of the “Improved Health Training Education in Malawian Nursing Colleges” project which was launched in 2005. The project was implemented by Norwegian Church Aid (NCA) in viii collaboration with Christian Health Association of Malawi (CHAM) and funded by the Royal Norwegian Embassy (RNE) - Malawi. The main aim of the project was to increase the capacity of CHAM colleges to increase the number of nurses and midwife students recruited in training institutions and provide quality nursing and midwifery education. This was an initiative to overcome a critical shortage of health workers in Malawi. The dissemination conference was therefore held to share some of the evidence coming out of the implementation of the project. Prior to the conference, two reviewers were engaged from Kamuzu College of Nursing. A total of twenty two abstracts were identified for presentation at the conference. The reviewers developed criteria which focused on four key aspects: a) Adherence to abstract format b) Relevance to conference theme (significance of the topic to nursing and midwifery education) c) Contribution to the theme d) Coherence and content Some were accepted for the outstanding work. While others were accepted with minor revisions, major revisions others were rejected. The first abstract in the booklet gives a background of the research intervention. How it was implemented and achievements made. This abstract awakened the interest of nursing educators to engage in research in order to improve nursing and midwifery education in Malawi. Up to this far nursing research is mostly carried out as a fulfillment of some higher degree requirements. ix The three abstracts that follow were done by nursing education network groups of south, centre and north. Each of these three groups was comprised of five colleges. The groups carried out their study with funding from the Improved Health Training Project and supervised by three Malawian and five Norwegian supervisors who took a mentorship role in guiding the groups. Abstract number five to twenty–two were submitted for parallel sessions, but due to time limitations fifteen were presented. This booklet has been developed with the goal of further disseminating
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